A new mother is very interested in caring for her newborn but is concerned about her ability to be a good mother. According to Rubin's phases of role attachment, the new mother is in which phase?

Attachment phase.

Letting go phase.

Taking hold phase.

Taking in phase.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Attachment phase is not one of Rubin's phases of role attachment. Rubin's theory of maternal role adaptation describes three stages that the mother goes through during the postpartum period: taking in, taking hold and letting go.

Choice B reason:

Letting go phase is the last stage of Rubin's theory of role attachment. It occurs when the mother accepts her new role and gives up her old roles. She also comes to terms with the reality of the birthing experience and the characteristics of her baby.

Choice C reason:

Taking hold phase is the second stage of Rubin's theory of role attachment. It occurs when the mother becomes interested in caring for the infant and learning about her baby and herself. She may be critical about her care-giving abilities and need positive reinforcement.

Choice D reason:

Taking in phase is the first stage of Rubin's theory of role attachment. It occurs right after the birth of the child, when the mother is passive and focused on her own needs, especially sleeping and eating. She may have limited interactions with her infant and prefer to talk about her experiences during labor, birth, and pregnancy. This matches the description of the new mother in the question, so this is the correct answer.

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Correct Answer is D

Explanation

Choice A reason:

Protamine sulfate is an antidote for heparin overdose, not magnesium sulfate toxicity.

Choice B reason:

Naloxone is an antidote for opioid overdose, not magnesium sulfate toxicity.

Choice C reason:

Flumazenil is an antidote for benzodiazepine overdose, not magnesium sulfate toxicity.

Choice D reason:

Calcium gluconate is the antidote for magnesium sulfate toxicity. Magnesium sulfate is used to treat preeclampsia and prevent seizures, but it can cause respiratory depression, hypotension, and cardiac arrhythmias if given in excess. Calcium gluconate reverses the effects of magnesium by stabilizing the cell membrane and increasing the contractility of the heart.

A. Placental insufficiency B. Primipara C. Maternal obesity D. Perinatal asphyxia

Correct Answer is A

Explanation

Choice A reason:

Placental insufficiency is a condition in which the placenta does not deliver enough oxygen and nutrients to the developing baby, resulting in restricted growth and development. This is one of the most common causes of SGA babies.

Choice B reason:

Primipara means a woman who is pregnant for the first time or who has given birth to one child. Primipara is not a cause of SGA, although some studies have suggested that first-time mothers may have a slightly higher risk of having a low-birth-weight baby than multiparous women.

Choice C reason:

Maternal obesity is a condition in which the mother has a body mass index (BMI) of 30 or higher before or during pregnancy. Maternal obesity is not a cause of SGA, but rather a risk factor for having a large-for-gestational-age (LGA) baby, which can lead to complications such as macrosomia, shoulder dystocia, and birth trauma.

Choice D reason:

Perinatal asphyxia is a condition in which the baby does not receive enough oxygen before, during, or after birth, causing hypoxia and acidosis. Perinatal asphyxia is not a cause of SGA, but rather a possible complication of SGA, especially if the placental insufficiency is severe or prolonged. Perinatal asphyxia can damage the brain and other organs of the baby and lead to long-term neurological impairments.

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A new mother is very interested in caring for her newborn but is concerned about her ability to be a good mother. According to Rubin's phases of role attachment, the new mother is in which phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with the mother of a newborn who is small for gestational age. Which of the following should the nurse include as a cause of this condition?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?

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